Barry Jacobson, DMD, along with his company, HQRC Management Services, and 13 affiliated dental practices, agreed to pay $753,457 to resolve allegations that they violated the False Claims Act by allegedly performing and billing for medically unnecessary therapeutic pulpotomies on pediatric patients, the Justice Department reported Oct. 6.
Dr. Jacobson and HQRC, which is now PDS Management Solutions, admitted that between 2011 and 2018, some dentists affiliated with HQRC performed and billed Medicaid for pulpotomies not backed by medical records at their respective affiliated practices.
HQRC also admitted to making billing errors between 2011 and 2014 to New York and New Jersey Medicaid contractors, resulting in inaccurate servicing provider information on claims for services performed at three of its locations.
The settlement also resolves allegations that the defendants gave incorrect servicing provider information on claims submitted to Medicaid managed care organizations.